weight-loss May 2, 2024 by admin Leave a Comment What Are Your Goals For This Treatment? Select all that apply Remove stubborn fat Fit into smaller clothes Boost self-confidence Tighten up loose skin Feel comfortable in swim suit Other What Area(s) Of The Body Are You Wanting To Improve? Select all that apply Abdomen Buttocks Chin/neck Back Hips/thighs Chest (male) Has Previous Surgical Work Been Done On These Areas? Yes No It's complicated None Do You Have Any Of The Following Medical Issues? Select all that apply Insulin Resistance Type 1 Diabetes High Blood Pressure Hypothyroidism Pre Diabetes Type 2 Diabetes Hyperthyroidism Other Medical Issue No Medical Issues How Many Days Per Week Are You Physically Active/Exercising? 0 days 1 day 2 days 3 days 4 days 5+ days None Are You On Any Of The Following Diets? Keto Paelo Vegan Vegetarian Other/None None Any Questions About This Treatment? Select all that apply What will my results look like? How long will it take to see results? What's the cost? Is there financing available? How many injections will I need? Other None What Is Your Preferred Payment Method For This Treatment? Cash Check Credit Card None What Day Would You Prefer For Your Consultation? Monday Tuesday Wednesday Thursday Friday None Name Email Phone Time's up
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